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1114429081
MATTHEW LAVALLEE
TACOMA, WA
NPI
1114429081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-03-06
Last Update Date
2021-02-05
Business Address
MATTHEW LAVALLEE PA-C
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-2252
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Mailing Address
MATTHEW LAVALLEE PA-C
62ND MED BDE
JOINT BASE LEWIS MCCHORD, WA 98433
Phone number:
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